Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. JAY B FRAZER
Active
Individual
MR. JAY B FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000435
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345131
ANTHEM BCBS
IN
01
—
0351930001
DMERC
IN
Enumeration date
10/03/2006
Last updated
07/08/2007
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